| NPI | 1205767001 |
|---|---|
| Doing Business As | OLD BETSY DENTAL SLEEP MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BROCK BENNION Managing Member 817-476-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-05-28 |